Nursing Diagnoses & Interventions

Embed Size (px)

Citation preview

  • 8/6/2019 Nursing Diagnoses & Interventions

    1/12

    CP1;00) CX[PLCF ELAFCNPHP / LCUH[_HCULNCP

    R[LC@LRMHP NO APHRPLP

    l# [lpj on{ lcoh`ulnc {hmauhe un mnv liixch p|puhi#

    Cx{plcf nxu`nihp4 [hex`h `mlhcup {lpj no fhuulcf lcoh`ulnc ace un lc`{haph

    `mlhcup liixch p|puhi#

    Lcuh{vhculncp4

    1# Rh{on{i pjlc apphppihcu on{ ugh mlhcu un nkph{vh on{ ac| k{njhc pjlc px`g

    ap r{hppx{h pn{h#

    ;# Rh{on{i gace apg khon{h ace aouh{ `a{lcf on{ `mlhcu un ilclilth

    u{acpilpplnc no il`{nn{faclpi un ugh `mlhcu#

    0# Hcpx{h ugh hcvl{ncihcu lp `mhac px`g ap `mhac khe pghhup un r{hvhcu

    lcoh`ulnc un ugh `mlhcu#

    5# R{a`ul h puh{lmh uh`gclqxh glmh enlcf puh{lmh r{n`hex{hp un ilclilth ugh

    {lpj on{ lcoh`ulnc#

    8# U{acpoh{ `mlhcu lcun a {hvh{ph lpnmaulnc {nni ap n{eh{he k| rg|pl lac un

    {hex`h ugh {lpj no `mlhcu fhuulcf lcoh`ulnc#

    ?# Aevlph `mlhcu un uajh in{h hmm)kamac`he elhu px`g ap elhu glfg lc r{nuhlc

    ace vluailc un lc`{haph kne| liixch p|puhi#6# Ialcualc ihel am ace px{fl`am aphrplp glmh enlcf r{n`hex{h on{ ugh mlhcu

    un {hex`h ugh {lpj no lcoh`ulnc#

    7# Vha{ RRH khon{h hcuh{lcf `mlhcup {hvh{ph lpnmaulnc {nni un r{nuh u `mlhcu

    o{ni `{npp lcoh`ulnc#

    ll# [lpj on{ lcoh`ulnc exh un rnn{ aphrul` uh`gclqxh#

    Cx{plcf nxu`nih4 [lpj on{ lcoh`ulnc lp {hex`he k| ialcualclcf aphrul uh`gclqxh#

    Lcuh{vhculncp4

    1# Rh{on{i gace apg khon{h ace aouh{ ha`g r{n`hex{h un ilclilth ugh {lpj

    on{ lcoh`ulnc#

    ;# Plu g noo ugh oac glmh enlcf r{n`hex{hp px`g ap e{hpplcf un r{hvhcu

    il`{nn{faclpip o{ni hcuh{lcf ugh nxce#

  • 8/6/2019 Nursing Diagnoses & Interventions

    2/12

    0# Hcpx{h ugau amm px{fl`am luhip a{h `mhac ace puh{lmh un r{hvhcu lcoh`ulnc#

    5# Hcpx{h ugau `mhac gacep ace amm puh{lmh luhip a{h ama|p aknvh alpu mhvhm

    kh`axph ac|uglcf khmn alpu lp `ncpleh{he xcpuh{lmh n{ `ncuailcauhe#

    8# Hcpx{h ugau `mlhcup hcvl{ncihcu lp `mhac ace hmm vhculmauhe un r{hvhcu ugh

    f{nug no il`{nn{faclpi#

    OMXLEP / HMH@U[NM\UH LIKAMAC@H

    l# [lpj on{ omxle ace hmh`u{nm|uh likamac`h {hmauhe un phh{h nilulcf#

    Cx{plcf Nxu nih4 @mlhcup omxle ace hmh u{nm|uh lp cn{iam ace `mlhcu enhp cnu

    gavh ac|in{h vnilulcf#

    Lcuh{vhculnc4

    1# Apphpp `mlhcup `ncelulnc px`g ap vluam plfcp ace plfcp ace p|irunip no

    ehg|e{aulnc px`g ap g|rnuhcplnc- e{| pjlc- haj {arle rxmph- ace

    hw`hpplvh ugl{pu#

    ;# Aeilclpuh{ L_ lcoxplnc ap n{eh{he k| rg|pl`lac un {hg|e{auh `mlhcu un

    r{hvhcu omxle ace hmh`u{nm|uh likamac`h#

    0# Apphpp `mlhcup mak {hpxmu un nkph{vh on{ ac| plfcp no hmh`u{nm|uh likamac`h#

    5# Aevlph mlhcu un uajh in{h omxle ace hmm)kamac`he elhu lo `mlhcu lp akmh un

    unmh{auh n{amm| un ialcualc omxle ace hmh`u{nm|uh kamac`h#

    8# Aeilclpuh{ ihel`aulnc ap n{eh{he k| rg|pl`lac un punr ugh vnilulcf#

    ?# Inclun{ `mlhcup lcuajh ace nxurxu `ga{u un apphpp gn ix`g omxle lp mlhcu

    uajlcf ace un apphpp ugh phvh{lu| no ugh vnilulcf un {hex`h ugh {lpj on{ omxle

    ace hmh`u{nm|uh likamac`h#

    ll# Hw`hpp omxle nmxih {hmauhe un a`xuh {hcam oalmx{h#

    Cx{plcf nxu`nih4 @mlhcup omxle vnmxih lp ka`j un cn{iam#

    Lcuh{vhculncp4

    1# Apphpp `mlhcup vluam plfcp px`g ap KR- rxmph- ace {hprl{aulncp on{ plfcp no

    g|rh{vnmhila#

    ;# @ncex`u a rg|pl am apphppihcu on{ `mlhcu un nkph{vh on{ hehia- pgn{uchpp

    n{ k{haug- ghhtlcf pnxcep- n{ mhuga{f|#

  • 8/6/2019 Nursing Diagnoses & Interventions

    3/12

    0# [hpu{l`u `mlhcup omxle lcuajh un {hex`h ugh hw`hpp omxle vnmxih#

    5# Inclun{ `mlhcup lcuajh ace nxurxu `ga{u un hcpx{h `mlhcu lp cnu uajlcf unn

    ix`g omxle ace lp rapplcf aehqxauh x{lch au mhapu 02 im. gnx{#

    8# Aeilclpuh{ ihel`aulnc px`g ap elx{hul p ap r{hp`{lkhe k| rg|pl lac un

    hc`nx{afh in{h omxle nxurxu un {hex`h ugh omxle lc ugh kne|#

    ?# Inclun{ `mlhcup L_ lcoxplnc `mnphm| lo lu lp n{eh{he k| rg|pl lac un hcpx{h

    ugau ugh lcoxplnc lp {xcclcf au ugh `n{{h`u {auh un r{hvhcu omxle nvh{mnae#

    6# Hwrmalc un ugh `mlhcu aknxu uajlcf mhpp omxle pn `mlhcu lmm xceh{puace ace

    `nnrh{auh#

    7# Ehplfc a omxle rmac on{ ugh `mlhcu un hcpx{h ugau `mlhcu lp fhuulcf aehqxauh

    omxle ap n{eh{he k| rg|pl`lac#

    lll# A`ullu| lcunmh{ac`h {hmauhe un omxle nmxih hw`hpp- oaulfxh- ace vhajchpp#

    Cx{plcf nxu nih4 @mlhcu lp akmh un unmh{auh ealm| a`ulvlu| lug cn oaulfxh ace

    hajchpp ace `mlhcup omxle vnmxih lp kamac`he#

    Lcuh{vhculncp4

    1# Apphpp `mlhcup `ncelulnc px`g ap vluam plfcp- hehia- ace pgn{uchpp no

    k{haug khon{h rmacclcf ac a`ulvlu| on{ ugh `mlhcu#

    ;# Applpu `mlhcu lc a`ulvlu| ealm| mlvlcf px`g ap r{nvlelcf khe kaug on{ ugh

    `mlhcu#

    0# Aevlph mlhcu un uajh mhpp omxle k| r{nvlelcf ac hwrmacaulnc un ugh `mlhcu pn

    `mlhcu `ac xceh{puace ace `nnrh{auh khuuh{#

    5# Aevlph `mlhcu un {hpu lo `mlhcu lp ohhmlcf unn haj ace ul{he un en ac|

    a`ulvlulhp#

    8# Aeilclpuh{ elx{hul`p un ugh `mlhcu ap n{eh{he k| ugh rg|pl`lac un {hex`h ugh

    omxle hw`hpp#

    ?# Aevlph mlhcu un en piamm hwh{ lphp a``n{elcf un `mlhcup unmh{ac`h px`g ap

    invlcf o{ni khe un `gal{ un r{hvhcu `mlhcu o{ni fhuulcf unn oaulfxhe#

  • 8/6/2019 Nursing Diagnoses & Interventions

    4/12

    l# Liral{he fap hw`gacfh {hmauhe un rxminca{| `ncfhpulnc#

    Cx{plcf nxu nih4 @mlhcu lp akmh un gavh nruliam vhculmaulnc#

    Lcuh{vhculncp4

    1# Apphpp `mlhcup vluam plfcp ace fhch{am `ncelulnc px`g ap {hprl{aulnc {auh

    ace ugh {g|ugi un hcpx{h ugau `mlhcu lp cnu lc {hprl{aun{| elpu{hpp#

    ;# Inclun{ `mlhcup AKF {hpxmu un apphpp ugh r{nf{hpp no ugh elphaph#

    0# Aeilclpuh{ aehqxauh nw|fhc un ugh `mlhcu lo `mlhcu lp lc {hprl{aun{| elpu{hpp#

    5# Aeilclpuh{ ihel`aulnc px`g ap k{nc`gnelmaun{ ace hwrh un{acu un elmauh

    ugh k{nc`gxp ace un hc`nx{afh ph`{hulnc no rgmhfi#

    8# Uha`g `mlhcu un en ehhr)k{hauglcf ace `nxfglcf hwh{`lph un a`glhvh

    iawlixi mxcf hwracplnc ace ampn un mnnphc ugh ix`xp o{ni ugh mxcfp#

    ?# En px`ulnclcf no rgmhfi lo `mlhcu lp xcakmh un `nxfg nxu ugh rgmhfi n{ ap

    n{eh{he k| ugh rg|pl`lac pn `mlhcu lmm kh akmh un k{haugh khuuh{#

    6# @nmmh u prxuxi o{ni `mlhcu ace un phce un ugh mak on{ `xmux{h ace

    phcplulvlu| pn arr{nr{lauh aculklnul` `ac kh flvhc#

    @A[H NO @MLHCU VLUG L_

    l# [lpj on{ rgmhklulp {hmauhe un rnn{ aphrul` uh`gclqxh ph`ncea{| un lcu{ahcnxp

    lcoxplnc#

    Cx{plcf nxu`nih4 @mlhcu enhp cnu gavh rgmhklulp#

    Lcuh{vhculncp4

    1# Apphpp lcu{avhcnxp lcoxplnc pluh on{ plfcp no lcomaiiaulnc px`g ap {hechpp-

    a{i un unx`g- phmmlcf ace ralc#

    ;# Rh{on{i gace apg khon{h ace aouh{ auuhcelcf un ugh `mlhcu un r{hvhcu

    `{npp)lcoh`ulnc#

    0# @mhac ugh L_ pluh lug am`ngnm pak un `mhac ugh pluh o{ni il {nn{faclpi#

    5# Hcpx{h ugau ugh hcep no ugh uxklcf gl g lmm kh `ncch`uhe un ugh `mlhcu lp

    puh{lmh k| `nvh{lcf lu un ialcualc ugh puh{lmlu|#

  • 8/6/2019 Nursing Diagnoses & Interventions

    5/12

    8# Plu g noo ugh oac khon{h enlcf ugh r{n`hex{h un r{hvhcu ugh u{acpilpplnc

    no il`{nn{faclpi un ugh puh{lmh olhme#

    ?# @gacfh ugh L_ rmapuh{ lo lu lp hu n{ pualche un r{hvhcu ugh f{nug no

    il`{nn{faclpi#

    6# Elp`nculcxh ugh L_ lcoxplnc lo ac| plfcp no rgmhklulp lp ehuh uhe un r{hvhcu

    ox{ugh{ `nirml`aulnc#

    ll# [lpj on{ g|rh{nmhila {hmauhe un nh{mnae no lcu{ahcnxp omxle ph`ncea{| un

    lcu{ahcnxp lcoxplnc#

    Cx{plcf nxu nih4 @mlhcup cn{iam omxle vnmxih lp ialcualche#

    Lcuh{vhculncp4

    1# Apphpp `mlhcup vluam plfcp on{ g|rh{uhcplnc- {arle {hprl{aulncp lug

    ghhtlcf pnxcep- ace oxmm knxcelcf ua`g|`a{ela gl`g ia| lcel`auh plfcp

    no g|rh{vnmhila#

    ;# Rh{on{i a rg|pl`am apphppihcu on{ plfcp no omxle nvh{mnae px`g ap mxcfp

    axp`xmuaulnc un gha{ on{ ac| `{a`jmhp ace apphpp on{ ac| hehia no mnh{

    mlikp#

    0# @am`xmauh ugh L_ e{lr omn {auh ap r{hp`{lkhe k| ugh rg|pl lac khon{h

    {xcclcf ugh e{lr un r{hvhcu g|rh{vnmhila exh un omxle nvh{mnae#

    5# Ialcualc ugh r{hp`{lkhe omn {auh un hcpx{h ugau lu lp {xcclcf au ugh `n{{h u

    {auh kh`axph lo ugh omn {auh lp unn oapu- lu `ac `axph g|rh{vnmhila exh un

    omxle nvh{mnae#

    8# Xph L_ lcoxplncp rxirp un `ncu{nm ugh omn {auh no ugh lcoxplncp un r{hvhcu

    g|rh{vnmhila#

  • 8/6/2019 Nursing Diagnoses & Interventions

    6/12

    LCOH@ULNC / LCOMAIIAULNC

    l# [lpj on{ r{hppx{h xm`h{ {hmauhe un liinklmlu|#

    Cx{plcf nxu`nih4 @mlhcu enhp cnu gavh r{hppx{h xm`h{#

    Lcuh{vhculncp4

    1# Rh{on{i a pjlc apphppihcu on{ ugh `mlhcu hprh`lamm| au knch r{nilchcu

    a{hap un apphpp on{ ac| pjlc k{hajenc gl`g ia| mauh{ ehvhmnr lcun

    r{hppx{h xm`h{#

    ;# Arrm| ilme mnulnc n{ inlpux{lth{ nc `mlhcup pjlc lo lu lp e{| ace iappafh

    fhcum| ace pmnm| un avnle pjlc o{l`ulnc un r{hvhcu pjlc k{hajenc#

    0# @gacfh ugh rnplulnc no ugh `mlhcu hvh{| ; gnx{p k| ux{clcf ugh `mlhcu un

    r{hvhcu r{hppx{h xm`h{#

    5# Hcpx{h ugau `mlhcup khe pghhu lp o{hh no {lcjmhp un eh`{haph ugh o{l`ulnc no

    `mlhcup pjlc lug ugh khe pghhu ap lu lmm `axph r{hppx{h xm`h{#

    8# Xph {lrrmh iauu{hpp on{ ugh `mlhcu ap {lrrmh iauu{hpp lmm elpu{lkxuh ugh

    r{hppx{h rnlcup hvhcm| gl`g lmm ghmr lc r{hvhculcf r{hppx{h xm`h{#

    ?# Avnle pgha{ ace o{l ulnc glmh rnplulnclcf ugh `mlhcu un r{hvhcu pjlc

    k{hajenc#

    ll# [lpj on{ liral{he pjlc lcuhf{lu| {hmauhe un lc`nculchc`h#

    Cx{plcf nxu`nih4 @mlhcup pjlc lcuhf{lu| lp ialcualche lug cn pjlc k{hajenc#

    Lcuh{vhculncp4

    1# Apphpp `mlhcup pjlc on{ ac| plfcp no pjlc mhplncp ace ampn ugh `ncelulnc no

    ugh pjlc px`g ap e{|chpp- inlpu- ugh `nmnx{- ace ugh pjlc uhwux{h#

    ;# Ialcualc `mlhcup g|flhch k| `gacflcf ugh elarh{ {hfxma{m| ace ghc lu lp

    pnlmhe un r{hvhcu r{hppx{h xm`h{ kh`axph a inlpu hcvl{ncihcu lmm `axph

    pjlc k{hajenc in{h haplm|#

    0# @gacfh `mlhcup khe pghhu ace `mnughp lo lu lp pnlmhe exh un `mlhcup

    lc`nculchc`h kh`axph inlpu hcvl{ncihcu lmm `axph ugh pjlc un k{hajenc

    haplm|#

  • 8/6/2019 Nursing Diagnoses & Interventions

    7/12

    5# Ialcualc `mlhcup g|flhch k| rh{on{ilcf khe kaug lo `mlhcu lp liinklmh ace

    hcpx{h ugau pa`{am a{ha lp `mhac ace e{| un r{hvhcu r{hppx{h pn{h#

    8# Lcph{u @KE on{ ugh `mlhcu exh un ugh lc`nculchc`h lo n{eh{he k| ugh

    rg|pl`lac#

    RH[LNRH[AUL_H @A[H

    l# Acwlhu| {hmauhe un ma`j no jcnvmhefh aknxu px{fh{|#

    Cx{plcf nxu`nih4 @mlhcu lp mhpp acwlnxp aouh{ r{nvlelcf `mlhcu ugh jcnmhefh

    aknxu ugh px{fh{|#

    Lcuh{vhculncp4

    1# Apphpp `mlhcup mhvhm no acwlhu| k| apjlcf ugh mlhcu gn ugh| ohhm ace ugh

    {hapnc no ugh acwlhu|#

    ;# R{nvleh lcon{iaulnc un ugh `mlhcu ace oailm| ihikh{p lo ugh| a{h lug ugh

    `mlhcu ace hc`nx{afh `mlhcu un apj qxhpulncp un jcn ugh mhvhm no `mlhcup

    jcnmhefh aknxu ugh px{fh{|#

    0# Lcon{i ugh `mlhcu aknxu gau un hwrh`u aouh{ ugh px{fh{| px`g ap pxux{he

    nxce- px{fl`am e{alc- mhvhm no ralc- e{nplchpp- ace ohhmlcf no caxpha ace

    vnilulcf ilfgu r{hphcu pn `mlhcu lmm ohhm mhpp acwlnxp rnpu nrh{aulvh#

    5# R{nvleh a `nxcphmmn{ on{ ugh `mlhcu pn ugau `mlhcup hinulncam ace prl{luxam

    chhep a{h uajhc `a{h no un ghmr `mlhcu un nvh{`nih ughl{ acwlhu|#

    8# Aeilclpuh{ ihel`aulncp px`g ap acul)acwlhu| n{ pheaulvhp ap n{eh{he k| ugh

    px{fhnc un {hex`h ughl{ acwlhu|#

    ll# Ehol`lhcu jcnvmhefh {hmauhe un ma`j no hex`aulnc aknxu rh{lnrh{aulh r{n`hpp#

    Cx{plcf nxu`nih4 @mlhcu lp hex`auhe aknxu ugh rh{lnrh{aulvh r{n`hpp ace

    vh{kamlphe xceh{puacelcf aknxu ugh r{n`hpp#

    Lcuh{vhculncp4

    1# Apphpp `mlhcup mhvhm no xceh{puacelcf aknxu ugh rh{lnrh{aulvh r{n`hpp k|

    apjlcf `mlhcu qxhpulncp {hmauhe un ugh r{n`hpp#

    ;# Hc`nx{afh `mlhcu un apj qxhpulncp aknxu ugh rh{lnrh{aulvh r{n`hpp pn ugau

    r{nrh{ lcon{iaulnc `ac kh flvhc un ugh `mlhcu#

  • 8/6/2019 Nursing Diagnoses & Interventions

    8/12

    0# Hwrmalc un ugh `mlhcu ugh chhe no r{h)nrh{aulvh uhpup px`g ap kmnne uhpup-

    H@F- ace @W[ ap kaphmlch eaua khon{h ugh px{fh{|#

    5# Hex`auh `mlhcu nc ehhr)k{hauglcf ace `nxfglcf hwh{ lph- mhf hwh{ lphp ace

    gn un invh rnpu nrh{aulvh ace hwrmalc un `mlhcu ugh lirn{uac`h no amm ugh

    hwh{`lphp un avnle rnpu nrh{aulvh `nirml`aulncp#

    8# Hwrmalc un ugh `mlhcu aknxu ugh chhe un jhhr CKI au mhapu 7 gnx{p khon{h

    ugh px{fh{| un r{hvhcu `nirml`aulnc rnpu nrh{aulnc#

    ?# Aevlph ugh `mlhcu un fhu hcnxfg {hpu ace pmhhr a ea| khon{h ugh px{fh{| un

    hc`nx{afh fnne nxce ghamlcf aouh{ ugh px{fh{|#

    6# Lcon{i `mlhcu aknxu pjlc r{hra{aulnc ap {hqxl{he k| ugh px{fhnc ace ugh

    pluh no pgavlcf un {hex`h ugh {lpj no lcoh`ulnc#

    7# Lcon{i `mlhcu aknxu r{h)ihel aulnc gl`g lmm kh flvhc 1 gnx{ r{ln{ on{

    px{fh{| ap a r{hra{aulnc on{ ugh px{fh{| ace ampn ap r{hvhculnc no

    `nirml`aulnc px`g ap fapu{lulp- caxpha- ace vnilulcf#

  • 8/6/2019 Nursing Diagnoses & Interventions

    9/12

    8# Hex`auh `mlhcu nc invlcf ace prmlculcf uh`gclqxh un {hex`h ugh ralc au ugh

    nrh{aulvh pluh ace ampn un r{hvhcu nxce ehglp`hc`h ex{lcf aikxmaulnc#

    ?# Hc`nx{afh `mlhcu un ux{c o{ni pleh un pleh au mhapu hvh{| ; gnx{p un a`glhvh

    iawlixi mxcf hwracplnc ace ampn un r{hvhcu r{hppx{h xm`h{#

    6# Aeilclpuh{ acamfhpl`p on{ mlhcu lo ugh ralc lp phvh{h pn `mlhcu lmm kh akmh

    un inklmlph lug mhpp ralc#

    l# Ralc {hmauhe un rnpu nrh{aulh vnxce#

    Cx{plcf nxu`nih4 @mlhcup ralc lp {hex`he n{ ralc o{hh#

    Lcuh{vhculncp4

    1# Apphpp `mlhcup mhvhm no ralc k| apjlcf ugh `mlhcu ugh phvh{lu| no ugh ralc

    xplcf ralc p`amh#

    ;# Aeilclpuh{ acamfhpl px`g ap in{rglch un ugh `mlhcu ap r{hp`{lkhe k|

    px{fhnc un {hex`h ugh ralc#

    0# Hex`auh `mlhcu aknxu prmlculcf uh`gclqxh nvh{ ugh nrh{aulvh pluh glmh

    invlcf un {hex`h ugh ralc#

    5# Hex`auh `mlhcu nc gn un xph R@A 'Raulhcu)`ncu{nmmhe acamfhpla, ghc

    ugh{h lp ralc un ghmr `mlhcu lc {hex`lcf ugh ralc#

    8# Rh{on{i e{hpplcf ap n{eh{he k| ugh px{fhnc fhcum| un avnle `axplcf unn

    ix`g ralc ace elp`nion{u on{ ugh `mlhcu#

    ?# Aeilclpuh{ acamfhpl` n{ pheaulvhp ap r{hp`{lkhe k| ugh px{fhnc r{ln{ on{

    e{hpplcf un {hex`h ugh ralc#

    KX[C / P@AMEP

    l# Kx{c pgn`j {hmauhe un phh{h kx{c#

    Cx{plcf nxu`nih4 @mlhcup `ncelulnc lp puaklmlphe#

    Lcuh{vhculncp4

    1# Apphpp `mlhcup `ncelulnc on{ plfcp no kx{c pgn`j px`g ap phvh{h

    g|rnvnmhila ace g|rh{vhculmaulnc ace ugh phvh{lu| no ugh kx{c k| xplcf

    [xmh no clchp#

  • 8/6/2019 Nursing Diagnoses & Interventions

    10/12

    ;# Lcph{u ; ma{fh kn{h `accxma un aeilclpuh{ L_ omxlep ace ihel`aulncp un ugh

    `mlhcu#

    0# Aeilclpuh{ L_ Ga{uiaccp ap n{eh{he k| ugh en`un{ un {hrma`h omxle mnpp

    exh un kx{c#

    5# Aeilclpuh{ vapna ulvh ihel`aulncp ap n{eh{he k| en`un{ un lc {haph ugh

    mn kmnne r{hppx{h exh un kx{c pgn`j#

    8# Aeilclpuh{ aehqxauh nw|fhc un ugh `mlhcu lo `mlhcu lp gavlcf elool xmu| lc

    k{hauglcf n{ mn nw|fhc paux{aulnc#

    ?# Apphpp on{ ac| gna{phchpp no vnl`h gl g ia| lcel`auh {hprl{aun{| u{a u

    lcdx{|#

    6# Lcuxkauh `mlhcu lo ugh{h lp kx{c un ugh oa`h- ch`j- n{ `ghpu un aeilclpuh{

    aehqxauh vhculmaulnc un ugh `mlhcu kh`axph {hprl{aun{| u{a`u lcdx{| `axphp

    al{a| `ncpu{l`ulncp exh un hehia#

    7# Uajh kmnne on{ AKF un apphpp on{ fap likamac`hp px`g ap {hprl{aun{|

    amjamnplp ace {hprl{aun{| a`lenplp#

  • 8/6/2019 Nursing Diagnoses & Interventions

    11/12

    0# Aeilclpuh{ ihel`aulnc px`g ap k{nc`gnelmaun{ ace ix`nm|ul` afhcup un

    elmauh `ncpu{l uhe k{nc`glam rappafh ace un mlqxho| prxuxi ace ale lc

    hwrh`un{aulnc#

    5# Aeilclpuh{ nw|fhc lo ugh mlhcu lp gavlcf elool`xmu| lc k{hauglcf#

    8# Lcuxkauh `mlhcu ap n{eh{he k| ugh en un{ un vhculmauh `mlhcu#

    ?# Nkualc a @W[ ap n{eh{he k| en un{ un apphpp ugh mxcf ncelulnc#

    lll# [lpj on{ lchooh`ulh ulppxh rh{oxplnc {hmauhe un rh{lrgh{am `ncpu{l`ulnc

    ph`ncea{| un `l{`xioh{hculam kx{c vnxcep no ugh a{ip#

    Cx{plcf nxu`nih4 @mlhcu gap aehqxauh ulppxh rh{oxplnc lug lir{nvhe `l{ xmaulnc#

    Lcuh{vhculncp4

    1# Apphpp on{ rxmph no ugh a{ip un hcpx{h ugau ugh{h lp kmnne `l{`xmaulnc un

    r{hvhcu ch`{nplp no ugh ulppxh#

    ;# Apphpp ugh hwu{hilu| gnx{m| on{ a{iug- `nmnx{- phcpaulnc- ace `arlmma{|

    {holmm on{ plfcp no akphc`h kmnne omn#

    0# Nkph{vh ugh `mlhcu `mnphm| on{ ac| `nirmalc no cxikchpp n{ ulcfmlcf

    phcpaulnc no ugh olcfh{p#

    5# Aevlph ugh `mlhcu un {hinvh ac| dhhm{lhp px`g ap {lcf- k{a`hmhu- n{ au`g

    un r{hvhcu ox{ugh{ `ncpu{l`ulnc gl`g lmm `axph eh`{haphe kmnne omn#

    8# R{hra{h `mlhcu on{ hp`ga{nuni| lo lu lp n{eh{he k| px{fhnc un {hmlho ugh

    `ncpu{l`ulnc `axphe k| `l{`xioh{hculam kx{c nxcep#

    l# Liral{he rg|pl`am inklmlu| {hmauhe un on{iaulnc no `ncu{a`ux{hp ph`ncea{| un

    kx{c vnxcep#

    Cx{plcf nxu`nih4 @mlhcu {hfalcp rg|pl`am inklmlu|#

    Lcuh{vhculncp4

    1# Rh{on{i a`ulvh n{ rapplvh [NI hwh{ lphp un amm dnlcup hvh{| ; gnx{p un

    r{hvhcu ox{ugh{ mnpp no inulnc ace un lir{nvh oxc`ulncam puauxp#

    ;# Aevlph `mlhcu un rh{on{i hwh{`lphp nc ughl{ nc un {hpun{h invhihcu ace

    un r{hvhcu `ncu{a`ux{hp#

  • 8/6/2019 Nursing Diagnoses & Interventions

    12/12